Provider Demographics
NPI:1114296696
Name:CREA, JOSEPH EUGENE (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:EUGENE
Last Name:CREA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:EUGENE
Other - Last Name:CREA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:100 E CAMPUS VIEW BLVD
Mailing Address - Street 2:ONE CROSSWOODS, SUITE 250
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4647
Mailing Address - Country:US
Mailing Address - Phone:614-499-7202
Mailing Address - Fax:614-438-2612
Practice Address - Street 1:100 E CAMPUS VIEW BLVD
Practice Address - Street 2:ONE CROSSWOODS, SUITE 250
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-4647
Practice Address - Country:US
Practice Address - Phone:614-499-7202
Practice Address - Fax:614-438-2612
Is Sole Proprietor?:No
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.004934208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice